胃癌术后不同营养支持方式治疗的疗效对比  

Comparative efficacy of different ways nutrition support therapy in gastric cancer postoperative

作　　者：薛振峰[1] 徐钧[2] 

机构地区：[1]山西医科大学研究生院,山西太原030001 [2]山西省人民医院普外科一病区,山西太原030012

出　　处：《中国医药科学》2015年第5期21-23,26,共4页China Medicine And Pharmacy

摘　　要：目的：本研究观察胃癌术后给予不同营养支持方式后，对患者恢复情况进行对比。方法收集山西省太原市中心医院普外科2012年10月~2014年1月收治的60例胃癌术后患者，把60例胃癌术后患者随机分成三组，EN（enteral nutrition）组、PN（parenteral nutrition）组、EN＋PN组各20例，分别观察患者手术前后的体重、血常规、肝肾功能，患者的住院时间、术后排气时间和并发症的发生情况。结果 EN组、EN＋PN组营养支持术后8d体重下降幅度明显低于PN组；EN组、EN＋PN组营养支持术后8d HB、TRF、TP、ALB等营养学指标均明显优于PN组；EN组、EN＋PN组平均住院时间、术后肛门排气时间较PN组明显缩短；EN组、EN＋PN组术后肝肾功能损伤、术后感染、切口愈合不良、肺部感染等并发症的发生率明显低于PN组；EN组与EN＋PN组之间无明显差异。结论胃癌术后早期肠内营养支持可有效的改善患者的营养状态，缩短患者住院时间和肠道功能恢复时间，降低术后并发症发生率，促进患者的康复。Objective To investigate and compare the recovery of patients with different ways nutrition support therapy in gastric cancer postoperative.Methods60 cases patients with gastric cancer postoperative in general surgery department of Taiyuan Center Hospital from Oct. 2012 to Jan. 2014 were collected. Those patients were randomly divided into three groups, including the EN （enteral nutrition） group, the PN （parenteral nutrition） group, the EN＋PN group, 20 cases in each group. The pre-operation and post-operation body weight, blood routine, hepatorenal function, patient＇s hospital stay, postoperative exhaust time and complications of the object was observed.Results EN, EN＋PN group nutrition support after 8 days weight were decreased significantly lower than the PN group; EN, EN＋PN group nutrition support after 8 days of HB, TRF, TP and ALB nutrition indicators were significantly better than the PN group; EN, EN＋PN group the average hospitalization time, postoperative exhaust time were significantly shortened than the PN group; EN, EN＋PN group the damage hepatorenal function, postoperative infection, poor healing of incision, pulmonary infection and other complications was lower than the PN group; It was no significant difference between the EN group and the EN＋PN group.ConclusionEarly EN after gastric cancer operation is able to effectively improve the nutritional status of patients and shorts the length of hospital stay and gastroenteric function in patients with recovery time, reduces the incidence of postoperative complications and promotes the rehabilitation of patients.

关 键 词：胃癌 肠内营养 肠外营养 

分 类 号：R735.2[医药卫生—肿瘤]